Casematch is a web based analysis and support tool for medical coding that helps to detect deficiencies in the DRG billing process. It supports you during the coding control process and points out inconsistencies in the medical coding of selected cases. By combining a traditional rule-based approach with modern machine learning algorithms Casematch is able to detect more potential errors with higher accuracy than traditional audit systems.
Advantages of Casematch
- Adapting best practices of other hospitals by extracting value from our common data pool.
- Real time simulation in an interactive environment
- Efficient audit process through a goal-oriented selection of codings
- Self-learning application, less effort to adapt validation rules
- Capturing of fuzzy coding guidelines by the statistical approach
- Provided as a web service, no installation or updates required
- Custom rules can be created using a simple editor
- Currently available for SwissDRG. Other DRG or coding systems can be implemented on demand.